1. Behavior Treatment Committee
February 5, 2019

2. Behavior Treatment Committee
What is the BTC?
Oversight Committee for Customers that have Restrictive or Intrusive Components in their Behavior Support Plans
Specialized Residential Placement
Restricted Access to Personal Items
Intrusive Levels of Supervision
Restricted Communication with Others
Reviews Each Customer Quarterly

3. Behavior Treatment Committee
Who is on the BTC?
Dr. Sean Field, BCBA-D
Dr. Brent Smith, Psychologist
Dr. Sajid Hussain (DD) & Dr. James Gandy (MI), Psychiatrist
Kent Rehmann, Recipient Rights Officer

4. Behavior Treatment Committee
Role of BCBA or Plan Developer
Assess Customer Behavior
Develop Behavior Support Plan
Train Staff and Implement Behavior Support Plan
Monitor Customer Performance
Monitor Staff Implementation
Work with Treatment Team to Plan for Removal of Restrictive or Intrusive Plan Components

5. Behavior Treatment Committee
Expectations for Providers
Staff Adhere to Behavior Support Plan
Schedule Trainings and Assure Staff are Trained on Behavior Support Plans
BTC Data Collection Forms are Completed and Submitted for Each of the Targeted Behaviors Outlined in the Support Plan
BTC Tracking Forms are Submitted to Summit Pointe Each Month with Attention made to Bridget Avery
Incident Reports are NOT Used for Behaviors Defined in the Plan Unless Interventions Required Restraint, Police Involvement, or Care Greater than First Aid

6. Contact People Bridget Avery Sean Field Elizabeth Wygant
Phone:
Sean Field
Phone:
Elizabeth Wygant

7. Please contact Sean Field
Questions/Concerns?
Please contact Sean Field
Phone:

8. February 2019 Provider Meeting Summit Pointe
HCBS Update
February 2019
Provider Meeting
Summit Pointe

9. What’s new with HCBS???? Updated FAQ (January 2019)
B3 Remediation ramping up
Webinars
Heightened Scrutiny Update

10. Updated FAQ (January 2019) Laundry Access (pg 14)
Access to funds (pg 14)
Michigan’s compliance date, March 17, 2019 (pg 16)
Links embedded in FAQ
pdf

11. B3 Remediation
Remediation letters will be going out soon by the SWMBH HCBS lead
Same process as the HSW remediation that occurred last year
CAP Guidance Table Resource
2018_614816_7.pdf

12. Webinars Michigan HCBS Transition Project: B Waiver Survey Results
January 23rd and 30th
Due to weather last week, DDI may host another webinar
Recorded webinar should be posted soon on the MI DDI website

13. Heightened Scrutiny Update
CMH HCBS leads working on updating data for the State Transition Team. Deadline is February 15, 2019
What does this mean? Getting closer to identifying providers who will start working with the MSU and the HS process

14. Heightened Scrutiny Isolation
_7.pdf
Institutional
6918_7.pdf
Heightened Scrutiny Process
2_576915_7.pdf

15. How are you doing with HCBS????
How are you educating your staff on HCBS rules?
What things are you doing to encourage choice?
Any new, or outside of the box, business practices?

16. Incident Reporting

18. What’s wrong? Used full name of other resident No date of incident
No employee assigned to resident
Scratch out
Not enough detail in explanation of what happened
i.e., why was Jane told to wait?
No supervisor Signature

19. DO
DO NOT
Submit IR to Performance Improvement within 24 hours or next business day
Fax
Use another sheet of paper if you run out of room
Fill out everything that you can!
Be specific
If handwriting, print legibly
Provide customer number
Do not put multiple occurrences on one IR (i.e., med refusal morning and evening), separate them out
Do not put more than one customer full name on IR, use initials of other customers
Do not completely scratch out a word. Cross it off with one or two lines through the word and initial
If customer has a behavior plan, do not document a behavior in an IR, just on the behavior tracking sheet

20. Performance Improvement
Bridget Avery
Katie Larder

21. Provider Meeting February 5, 2019
Trends in Compliance
Provider Meeting
February 5, 2019

22. Annual Claims Review
Claims audit is conducted the same quarter as your site review.
Compliance will request documentation to be submitted at the beginning of the quarter (via letter)
Documentation will be scanned into the computer in order for PI to use for their audit, as they look at the quality of the documentation.
Correct code, rate, place of service and documentation of units, Face to Face time.

23. Recoupment and Corrective Action Plan
When would you receive a recoupment? Some examples:
Lack of supporting documentation for services provided
Documentation does not match the claims submitted
When would you receive a request for Corrective action plan? Some examples:
Place of Service is not correct
Documentation lacks elements mandated by Medicaid Manual and SWMBH/Summit Pointe documentation policy (on website)

24. Results of Audit You will receive a letter with your results.
Will include recoupment and corrective action plan is needed
Preliminary results versus Final Results
When are Corrective Action Plans due?
30 days after notified of deficiency (via letter)
Follow up:
Both recoupment and corrective action plans will have a follow up plan to ensure continued compliance

25. Quarter 1 Claims Audit 162 claims reviewed 98% compliance rate
Trends for quarter: Place of Service Incorrect
No supporting documentation submitted

26. Audits, Audits, Audits
Summit Pointe and their providers are subjected to many audits over the course of the year:
MDHHS
SWMBH
Summit Pointe Auditing and monitoring plan
Annual Claims Audit
Targeted Audits

27. MDHHS Behavioral Health Consent/Release of Information (Version 5515)
Part II(A) Section of SWMBH’s PIHP Contract with MDHHS mandates that we “use, accept and honor” the MDHHS standard release form.
Public Act 129 of 2014, which directs MDHHS to:
…[D]evelop a standard release form for exchanging confidential mental health and substance use disorder information for use by all public and private agencies, departments, corporations or individuals that are involved with treatment of an individual experiencing serious mental illness, serious emotional disturbance, developmental disability or substance use disorder.

28. MDHHS Behavioral Health Consent/Release of Information (Version 5515)
It is a way for several entities to share behavioral health and substance use information for the purpose of treatment, payment and coordination of care
This is specifically for sharing behavioral health and substance use information. It is not used for other types of information.
For a list of more FAQ’s and Helpful information please visit

29. MDHHS Behavioral Health Consent/Release of Information (Version 5515)
Several versions have come out over the last year. Use version 5.0 (Revision date 12/18). Previous versions of this form will no longer be accepted effective March 1, 2019.

30. Contacts
For any questions: